CHEST WALL RECONSTRUCTION USING CUSTOMIZED NEO-RIBS: CASE REPORT

Authors

  • Daniel Cabral Thoracic Surgery Department, Hospital Pulido Valente, CHLN, Lisboa, Portugal
  • Rui Leitão Plastic and Reconstructive Surgery Unit, Hospital Fernando da Fonseca, Amadora, Portugal
  • Fernando Gomes Rosa Plastic and Reconstructive Surgery Unit, Hospital Fernando da Fonseca, Amadora, Portugal
  • Francisco Félix Thoracic Surgery Department, Hospital Pulido Valente, CHLN, Lisboa, Portugal

DOI:

https://doi.org/10.48729/pjctvs.197

Keywords:

Neo-ribs, Chest Wall Reconstruction

Abstract

Chest wall tumours are challenging subjects. In the present article we describe a case of a 51 year old female who developed an angiosarcoma eight years after radiotherapy treatment due to left breast cancer at age 41. She had resection of the anterior segments of the 3rd to 5thribs followed by chest wall reconstruction, using MatrixRib fixation system®, Marlex® mesh and latissimus dorsi muscle flap. After two years the angiosarcoma relapsed. Considering the predicted extent of the chest wall resection, a reconstruction using titanium plates was not an option, so we opted to shape neo-ribs of Methyl Methacrylate using rubber drains as a mold. It affords very good anatomical contour of the chest wall and more physiological function than other options, although only long-term follow-up and future studies will determine the performance of this method.

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References

Mccormack P et al. New Trends in Skeletal Reconstruction after Resection of Chest Wall Tumors. Ann ThoracSurg 1981.31:45–52

Ram D et al. Chest wall reconstruction using steel wire in a caseof Chondrosarcoma Rib: a novel technique of neo-rib. Indian J Surg. 2017. 33: 187–189

Pairolero P; Arnold P. Thoracic Wall Defects: Surgical Management of 205 Consecutive Patients. Mayo Clin Proc 1986. 61:557-563

Bellamy J. Rib Reconstruction with Screws and Bone Cement. https://www.ctsnet.org/article/rib-reconstruction-screws-andbone-

cement. 2015

Ferraro P et al. Principles of Chest Wall Resection andReconstruction. ThoracSurg Clin 2010. 20: 465–473

Thomas P, Brouchet L. Prosthetic Reconstruction of the Chest Wall. ThoracSurg Clin 2010. 20: 551–558

Suzuki K et al. Chest Wall Reconstruction Using a Methyl-Methacrylate Neo-Rib and Mesh. Ann Thorac Surg 2015. 100:744–7

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Published

07-11-2021

How to Cite

1.
Cabral D, Leitão R, Gomes Rosa F, Félix F. CHEST WALL RECONSTRUCTION USING CUSTOMIZED NEO-RIBS: CASE REPORT. Rev Port Cir Cardiotorac Vasc [Internet]. 2021 Nov. 7 [cited 2024 Feb. 28];28(3):53-5. Available from: https://pjctvs.com/index.php/journal/article/view/197

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Section

Clinical Cases

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